Student Teaching Diversity Report SurveyMonkey

#112 COMPLETE
Collector: Web Link (Web Link)
Started: Friday, January 27, 2017 10:18:22 AM
Last Modified: Friday, January 27, 2017 10:26:57 AM
Time Spent: 00:08:34
IP Address: 204.126.10.201

PAGE 1: Student Teacher Information

Q1: Student Teacher Name: Shawna LoPrsto

Q2: Please indicate on which of the following you are Student Teaching Placement 1
reporting information:

Q3: Semester and year in which you are reporting this Spring 2017
experience:

PAGE 2: Classroom Specifics

Q4: Description of the type of classroom (i.e. inclusive, gifted):

Gifted Cluster

Q5: Grade of the students for which you are reporting 5th Grade
information:

Q6: Number of students in the classroom: 20

PAGE 3: Student Gender and Economic Status

Q7: Male students: 10

Q8: Female students: 10

Q9: Free/Reduced Lunch students: 5

Q10: Not Free/Reduced Lunch students: 15

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native: Respondent skipped this

question

Q12: Asian or Pacific Islander: 1

Q13: Black, non-Hispanic 4

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 Student Teaching Diversity Report SurveyMonkey

Q14: Hispanic: 3

Q15: Multiracial 2

Q16: Non-resident Alien: Respondent skipped this

question

Q17: Race/ethnicity unknown: Respondent skipped this

question

Q18: White, non-Hispanic: 10

PAGE 5: Special Needs

Q19: Please indicate whether you worked with students Bilingual, Gifted/Talented
with the following special needs. Check all that apply.

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